Active NPI
Kurtis James Rivera, MAFP, MA, LPC, CAS
- Professional Counselor
- Pueblo, CO
National Provider Identifier
1609241751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0022453
- Practice address
- 635 W Corona Ave Ste 200
Pueblo, CO 81004-1210 - Phone
- (719) 299-0824
- NPI assigned
- Dec 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0022453 | CO | Primary |
Addresses
Primary practice location
635 W Corona Ave Ste 200
Pueblo, CO 81004-1210
Mailing address
635 W Corona Ave Ste 200
Pueblo, CO 81004-1210
Phone (719) 299-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5517
Phone (720) 943-7050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Journey Therapy PLLC | Mental Health | Current | Accepting new patients |
| Higher Sights Counseling | Mental Health | Current | Accepting new patients |
Locations
5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050
635 W Corona Ave
Ste 200
Pueblo, CO 81004
Phone (719) 299-0824
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758326400000",
"number": "1609241751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W CORONA AVE STE 200",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041210",
"telephone_number": "719-299-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W CORONA AVE STE 200",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810041210",
"telephone_number": "719-299-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "KURTIS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MAFP, MA, LPC, CAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-01",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0022453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.